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The neuropsychology of facial recognition

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Abstract

Knowledge of the neuropsychological mechanisms underlying facial recognition has come from both experimental study of normal Ss and clinical investigation of patients who show defects in facial perception or memory. A basic difference exists between the identification of the faces of familiar persons and the discrimination of unfamiliar faces. Defects in these 2 forms of facial recognition have different anatomical correlates, and a patient with brain disease may show one type of impairment and not the other. The right hemisphere appears to play a primary role in mediating both forms of facial recognition. However, there is evidence to indicate that left-hemisphere mechanisms are also involved in facial perception and memory and that the relative contribution of each hemisphere to the process may vary among individuals. (50 ref)
The
Neuropsychology
of
Facial
Recognition
ARTHUR
L.
BENTON
University
of
Iowa
ABSTRACT:
Knowledge
of the
neiiropsychological
mechanisms
underlying
facial
recognition
has
come
from
both
experimental
study
of
normal
subjects
and
clinical
investigation
of
patients
who
show
defects
in
facial
perception
or
memory.
A
basic
difference
exists
between
the
identification
of the
faces
of
familiar per-
sons
and the
discrimination
of
unfamiliar
faces.
De-
fects
in
these
two
forms
of
facial
recognition
have
different
anatomical
correlates,
and a
patient
with
brain
disease
may
show
one
type
of
impairment
and
not the
other.
The
right
hemisphere
appears
to
play
a
primary
role
in
mediating
both
forms
of
facial
recognition.
However,
there
is
evidence
to
indicate
that
left-hemisphere
mechanisms
are
also
involved
in
facial
perception
and
memory
and
that
the
relative
contribution
of
each
hemisphere
to the
process
may
vary
among
individuals.
The
psychological aspects
of
facial
recognition
and
memory
have engaged
the
attention
of
researchers
for
decades,
and
interest
in the
topic
seems
to be
stronger than ever. Over
the
course
of the
last
few
years,
a
substantial
number
of
papers
have
been
published dealing with such questions
as the
nature
of the
perceptual mechanisms underlying
facial
recognition,
the
amount
of
information con-
veyed
by
inspection
of
faces,
the
saliency
of
dif-
ferent
facial
features,
and
the
recognition
of
faces
by
infants.
No
doubt
the
basic reason
for
this
interest
is
that
our
capacity
to
identify
and re-
member
individuals
from
perception
of
their faces
is
an
intriguing
and
still rather mysterious phe-
nomenon.
There
are,
of
course, hundreds
of
persons
we
have seen
on
many occasions whom
we
readily
identify
when
we see
them again.
In
these
in-
stances
our
instant recognition
may be
ascribed
to
overlearning,
although
I am not
sure
that
this
provides
a
complete explanation.
But
there
are
also hundreds
of
persons whom
we see on
only
one
occasion,
or
perhaps once every
two or
three years
(e.g.,
at an APA
convention)
and
whom
we
recog-
nize
immediately
on a
subsequent occasion.
In-
deed, small photographs
of
their
faces
are
suf-
ficient
for
instant identification.
To be
sure,
not all the
faces
we
encounter once
176
FEBRUARY
1980
AMERICAN PSYCHOLOGIST
Copyright
1980
by the
American
Psychological
Association, Inc.
0003-066X/80/3S02-0176S00.7S
or
twice
are
subsequently recognized.
No
doubt
the
great majority
of
them
are
forgotten. What
is
remarkable
is
that
so
many
of
them
are
remem-
bered.
A
person
we
have seen
on one or two
occa-
sions
may be
accurately
identified after
the
passage
of
many years
and in
spite
of all too
obvious age-
related changes
in
facial features. Somehow
or
other
our
memory schema takes account
of
these
changes
in the
plastic
features
of the
face
and
enables
us to
perceive those invariant
features
that
give
the
face
its
individuality. What
the
schema
is
less
well
prepared
to
cope
with
are the
gross
changes
in
appearance created
by a
beard
or by
radical
plastic surgery.
In
these instances there
is
often
a
failure
of
recognition,
at
least
of
instant
recognition.
A
persistent
and as yet
unresolved question
concerns
how we
encode
the
information provided
by
inspection
of a
face
so
that
the
information
can
be
placed
in a
memory
store.
The
role
of
verbal
encoding
per se is not
clear,
but it
does
not
seem
likely
that
it
furnishes
the
primary
mechanism
of
storage.
How
then
is a
face
encoded?
The
ques-
tion remains
to be
resolved. Another question
still being addressed
by
empirical research concerns
the
basic strategy underlying
facial
perception.
The
serial detection
of
salient
features
such
as the
eyes, nose,
and
lips
is
certainly
one
mechanism.
But the
fact
that
we are
capable
of
successful
high-
speed
identification
of a
face
even when
we
appre-
hend only
a
partial
aspect
of
it—-for
example,
a
profile,
only
the
lower part,
a
picture taken under
unusual
lighting
conditions,
or
even
a
caricature
argues
for its
gestalt-like
apprehension
via a
paral-
lel
processing mechanism.
This
article
was the
address
of the
recipient
of the
Distinguished
Professional'
Contribution
Award
at the
meeting
of the
American
Psychological
Association,
New
York,
September
2,
1979.
The
personal investigations
described
in
this
article
were
supported
by
Research Grant
NS-00616
from
the
National
Institute
of
Neurological
Disorders
and
Stroke.
Requests
for
reprints should
be
sent
to
Arthur
Benton,
Department
of
Neurology, University
Hospitals,
Iowa
City,
Iowa
52242.
Vol.
35,
No. 2,
176-186
... Further, observations on split-brain patients (Levy, Trevarthen, & Sperry, 1972) showed that the LH was more accurate than the RH on face identification, suggesting that it is equipped for all of the necessary processing of faces from perception to naming. More recently Benton (1980) and Kremin (Note 1) found that LH aphasics could be as impaired as RH patients on a face recognition task. ...
... Although the LH superiority obtained in these experiments may be explained by a verbally mediated performance (cf. Benton, 1980), Sergent and Bindra (1981;Sergent, Note 2) suggested that an explanation in terms of an LH visuospatial competence may be more adequate to account for the observed LH advantage. They argued that the RH superiority found in most experiments on facial recognition may have resulted from certain procedural conditions (e.g., brief exposure duration, delayed matching, highly discriminable faces) that prevented an LH competence from emerging, and not from an RH specialization for processing faces. ...
... First, even if the visual traces of the comparison faces may be represented in terms of brightness, contrast, and contour in the visual sensory area of the brain, this does not necessarily imply that the comparison is taking place at such a level. If it were, parietal lesions would not affect simultaneous matching of faces, which they do (Benton, 1980;Kremin, Note 1). Moreover, functional hemispheric asymmetries in perceptual discrimination tasks have been reported for faces (St. ...
Article
Full-text available
Three experiments (12 20–31 yr old Ss) investigated the involvement of the 2 cerebral hemispheres in processing faces. Perceptual discrimination of pairs of faces was equally speedy when stimuli were presented in the right (RVF) or left visual field (LVF). For faces differing in 1 or 2 features, however, a qualitatively different pattern was obtained for the 2 VFs, and an RVF advantage emerged when the difference lay in the upper part of the face. Examination of the discriminability of facial features showed that the processes involved in RVF comparisons followed a top–bottom serial analysis of the stimuli. Evidence for a serial type of comparison was obtained for RVF presentations when more dissimilar comparison faces were used. Methodological problems inherent in tachistoscopic studies are discussed, and it is proposed that the quality of the stimulus representation achieved or required for cognitive processing may be determinant in the emergence of functional hemispheric asymmetries. (44 ref)
... It seems to represent a special visual skill because the face of a given person has much in common with the faces of all other persons, yet we can still efficiently recognize the faces of thousands of people encountered throughout our lives. Face identification has been demonstrated to involve a holistic processing mode in which the right hemisphere is thought to exercise a dominant role (Benton, 1980;Sergent et al., 1992;McCarthy et al., 1997;Dubois et al., 1999;De Renzi, Perani, Carlesimo, Silveri & Fazio, 1994;Gazzaniga, 1982;Rapcsak et al., 1994;Peirce et al., 2000;Rossion et al., 2003;Nakato et al., 2009;De Heering and Rossion, 2015). However, it is unclear how our expertise in identifying faces of persons we know relates to episodic recognition memory for unfamiliar faces (i.e., memory for a single encounter with a face of an unfamiliar person). ...
... The handful of neuropsychological studies that relate to this issue were single case studies. According to those studies, right ventromedial occipitotemporal brain damage can lead to an impairment in recognizing familiar faces (a type of prosopagnosia) (Benton, 1980;Warrington and James, 1967;De Renzi et al., 1994;Clarke et al., 1997). This memory impairment stands in contrast with another type of memory disorder which occurs due to right frontal lobe damage and leads patients to mistakenly believe that unfamiliar faces are familiar (extremely high false-alarm rates) (Rapcsak et al., 1996;Rapcsak et al., 1999;Rapcsak et al., 2001;Rapcsak, 2003;Rapcsak and Edmonds, 2011; however, see also Rapcsak et al. (1996) for cases of right occipitotemporal damage presenting both familiar and unfamiliar face recognition impairments). ...
... Another important limitation stems from the fact that stroke cohorts are comprised mainly of patients with infarctions in the territory of the middle cerebral artery. As a result, we could not analyze in the current study the impact of damage to ventral temporo-occipital and lateral occipital parts of the face recognition network, where damage in both hemispheres is expected to affect recognition memory for faces (Benton, 1980;Warrington and James, 1967;De Renzi et al., 1994;Clarke et al., 1997). However, demonstration of significant detrimental effects on facial memory following lesions that spare the occipito-temporal cortical regions points to important involvement of these regions in processes that facilitate face memory, beyond the initial face perception process. ...
Article
Face recognition abilities, which play a critical role in social interactions, involve face processing and identifying familiar faces, but also remembering one-off encounters with previously unfamiliar faces. Previous functional imaging and lesion studies have found evidence for temporal, frontal, and parietal contributions to episodic recognition memory for previously unfamiliar faces. However, the functional contributions of these regions remain unclear. We, therefore, conducted a systematic group analysis of this memory function using lesion-behavior mapping. 95 first-event stroke patients (53 with right- and 42 with left-hemisphere damage) in the sub-acute phase performed the Wechsler Memory Scale (WMS-III) face recognition memory subtest. We analyzed their performance relative to 75 healthy controls, using signal detection measures. To identify brain lesions specifically implicated in face recognition deficits, we used voxel-based lesion-behavior mapping (VLBM; an analysis comparing the performance of participants with and without damage affecting a given voxel). Behavioral analysis disclosed a pronounced impairment in the performance of patients with right hemisphere damage. Frontal damage was associated with an increased amount of false alarms (i.e., failed rejection of new face items) and overly liberal criterion setting, without affecting the recognition of studied faces. In contrast, parietal damage was associated with impaired recognition of studied faces, which was more pronounced in immediate than in delayed retrieval. These findings suggest the existence of multifactorial neurocognitive processes in recognition memory for unfamiliar faces.
... Prior to CT imaging, debate persisted about whether involvement of both hemispheres was necessary or whether just a right-hemisphere focal lesion was sufficient. [3][4][5][6][7][8] Increased use of head CT scans in neurological diseases revealed that an isolated righthemisphere lesion was sufficient to account for loss of facial recognition. [9][10][11][12] Over the next few decades, De-Renzi and colleagues 13 proposed that there are two different types of prosopagnosia, an apperceptive type and an associative (amnestic) type, while Warrington and colleagues 14,15 showed that facial-recognition loss differed from the loss of ability to discriminate between faces and that facial recognition can be specific to human faces. ...
Article
Full-text available
Loss of facial recognition or prosopagnosia has been well-recognized for over a century. It has been categorized as developmental or acquired depending on whether the onset is in early childhood or beyond, and acquired cases can have degenerative or non-degenerative etiologies. Prosopagnosia has been linked to involvement of the fusiform gyri, mainly in the right hemisphere. The literature on prosopagnosia comprises case reports and small case series. We aim to assess demographic, clinical, and imaging characteristics, and neurological and neuropathological disorders associated with a diagnosis of prosopagnosia in a large cohort. Patients were categorized as developmental versus acquired; those with acquired prosopagnosia were further subdivided into degenerative versus non-degenerative, based on neurological etiology. We assessed regional involvement on 18F-fluorodeoxyglucose PET and MRI of the right and left frontal, temporal, parietal, and occipital lobes. The Intake and Referral Center at the Mayo Clinic identified 487 patients with possible prosopagnosia, of which 336 met study criteria for probable or definite prosopagnosia. Ten patients, 80.0% male, had developmental prosopagnosia including one with Niemann-Pick type C, and another with a Forkhead-box G1 gene mutation. Of the 326 with acquired prosopagnosia, 235 (72.1%) were categorised as degenerative, 91 (27.9%) as non-degenerative. The most common degenerative diagnoses were posterior cortical atrophy, primary prosopagnosia syndrome, Alzheimer’s disease dementia, and semantic dementia, with each diagnosis accounting for >10% of this group. The most common non-degenerative diagnoses were infarcts (ischemic and hemorrhagic), epilepsy-related, and primary brain tumours, each accounting for >10%. We identified a group of patients with non-degenerative transient prosopagnosia in which facial-recognition loss improved or resolved over time. These patients had migraine-related prosopagnosia, posterior reversible encephalopathy syndrome, delirium, hypoxic encephalopathy, and ischemic infarcts. On 18F-fluorodeoxyglucose PET, the temporal lobes proved to be the most frequently affected regions in 117 patients with degenerative prosopagnosia, while in 82 patients with non-degenerative prosopagnosia MRI revealed the right temporal and right occipital lobes as most affected by a focal lesion. The most common pathological findings in those with degenerative prosopagnosia were frontotemporal lobar degeneration with hippocampal sclerosis, and mixed Alzheimer’s and Lewy body disease pathology. In this large case series of patients diagnosed with prosopagnosia, we observed that facial-recognition loss occurs across a wide range of acquired degenerative and non-degenerative neurological disorders, most commonly in males with developmental prosopagnosia. The right temporal and occipital lobes, and connecting fusiform gyrus, are key areas. Multiple different pathologies cause degenerative prosopagnosia.
... This model proposes that separate systems are responsible for the initial recognition of faces and names as familiar, whereas a single conceptual system represents identity-specific semantic information (Valentine et al., 1991). Initial recognition processes are presumed to be lateralized, as indicated by evidence that proper-name anomia is largely associated with LT lobe damage (Fukatsu, Fujii, Tsukiura, Yamadori, & Otsuki, 1999;Luchelli & De Renzi, 1992;Verstichel, Cohen, & Crochet, 1996), whereas deficits in judging faces as familiar are associated with damage to the RT lobe (Evans, Heggs, Antoun, & Hodges, 1995;Warrington & James, 1967; for review, see Benton, 1980;Kanwisher & Moscovitch, 2000). Specific semantic information about the person's identity may be preserved, because both the anomic patient and the patient with impaired face recogni-tion may be able to provide considerable semantic details about the nonrecognized individual when provided with the name (Warrington & McCarthy, 1988). ...
Article
Full-text available
Memory for famous individuals was assessed by the use of a recognition test in which participants first made familiarity judgments, followed by forced-choice decisions to specific probes for identity. Patients with temporal lobe epilepsy (TLE) or excisions, 12 left hemisphere and 12 right hemisphere, and 18 control participants identified famous figures across 3 decades (1970s–1990s). Only patients with right TLE were impaired at familiarity judgments of faces; this deficit was evident only for the most recent decades. Both groups of patients, however, were impaired at naming famous faces and at providing semantic information about famous people. These findings suggest the integrity of temporal structures in both hemispheres is critical for retrieval of detailed semantic information about famous individuals.
Chapter
A brief overview of the most important cognitive alterations as a consequence of focal brain damage is presented. The discipline that studies the relationship between brain damage and higher cognitive functions is called neuropsychology and is mainly based on correlations between anatomy and function. Leaving aside the importance of the clinical impact that neuropsychology has on patients' treatment, its main experimental aim is to draw inferences from the pathological conditions to normal functions, on the assumption that if the lesion to a particular brain area or circuit has provoked a specific deficit, then that part of the brain is involved in or is necessary for sustaining the normal function. The main classical neuropsychological syndromes related to perceptual, spatial, linguistic, motor, and memory domains will be discussed, with a final part on syndromes in which conscious awareness is specifically altered.
Chapter
Signed languages are naturally occurring, fully formed linguistic systems that rely on the movement of the hands, arms, torso, and face within a sign space for production, and are perceived predominantly using visual perception. Despite stark differences in modality and linguistic structure, functional neural organization is strikingly similar to spoken language. Generally speaking, left frontal areas support sign production, and regions in the auditory cortex underlie sign comprehension-despite signers not relying on audition to process language. Given this, should a deaf or hearing signer suffer damage to the left cerebral hemisphere, language is vulnerable to impairment. Multiple cases of sign language aphasia have been documented following left hemisphere injury, and the general pattern of linguistic deficits mirrors those observed in spoken language. The right hemisphere likely plays a role in non-linguistic but critical visuospatial functions of sign language; therefore, individuals who are spared from damage to the left hemisphere but suffer injury to the right are at risk for a different set of communication deficits. In this chapter, we review the neurobiology of sign language and patterns of language deficits that follow brain injury in the deaf signing population.
Chapter
Psychological impairment associated with brain disease takes a great variety of forms, depending primarily on the locus, extent, and nature of the cerebral lesion and secondarily on premorbid characteristics of the patient, e.g., his intellectual level, his personality, and his hemispheric cerebral organization as reflected (imperfectly) in his lateral preference. Assessment of the various forms of behavioral impairment associated with brain disease has a two-fold interest. First, it is of theoretical interest in that it provides data from which inferences about cerebral organization and the functional properties of the different areas of the brain can be made. Secondly, from a practical standpoint, it provides a relatively accurate and unbiased estimate of various aspects of a patient’s behavioral capacity which can aid diagnosis and management in various ways, e.g., in making a judgment about the presence of cerebral disease in the doubtful case, in furnishing a baseline against which future changes in status can be measured, as a guide in rehabilitation, and in providing evidence for focal cerebral disease in the form of specific cognitive, perceptual, or psychomotor deficits.
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The purpose of this research was to compare several tests requiring the recognition of unknown faces for their power to discriminate among different groups of patients with unilateral cerebral lesions. These groups were: 1) right brain-damaged patients without visual field defects (N = 31); 2) right brain-damaged patients with visual field defects (N = 19); 3) left brain-damaged patients without visual field defects (N = 50); 4) left brain-damaged patients with visual field defects (N = 14).
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To explore the possibility of developing a valid abbreviated form of the Test of Facial Recognition, the test performances of 185 adult patients with established diagnoses of brain disease and 151 without history or evidence of brain disease were studied. Stepwise multiple discriminant analysis on subsamples of the brain-diseased and control Ss identified discriminating items which were then subjected to cross-validation on independent subsamples. The resulting short form of the test consisted of 16 items requiring 27 responses, representing a 50% reduction in length. Part-whole correlation coefficients between the short and long forms of the test ranged from .884 to .940 in 5 different samples of Ss. With the use of the smoothed equipercentile method, a table for predicting long form scores from obtained short form scores was constructed. Guidelines for the employment of the short form in clinical evaluation are presented. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Article
"THE PURPOSE . . . WAS TO EVALUATE THE INFLUENCE OF APHASIA, OF VISUAL FIELD DEFECTS AND THE HEMISPHERIC SIDE OF THE LESION ON GOTTSCHALDT HIDDEN FIGURE TEST. THIS TEST WAS ADMINISTERED TO 95 RIGHT HANDED PATIENTS WITH UNILATERAL LESIONS OF THE CEREBRAL HEMISPHERES AND TO 40 CONTROL PATIENTS. THE BRAIN-DAMAGED SAMPLE WAS DIVIDED INTO SUB-GROUPS ACCORDING TO THE SIDE OF THE LESION AND THE PRESENCE/ABSENCE OF VISUAL FIELD DEFECTS AND OF APHASIA. IT WAS FOUND THAT VISUAL FIELD DEFECTS DID NOT SIGNIFICANTLY AFFECT THE TEST SCORES. IN CONTRAST, POOR PERFORMANCES WERE SIGNIFICANTLY ASSOCIATED WITH THE PRESENCE AND SEVERITY OF APHASIA. FIGURE GROUND DISCRIMINATION IN BRAIN-DAMAGED PATIENTS MAY BE DUE TO THE IMPAIRMENT OF AT LEAST 2 SPECIFIC ABILITIES, I.E. LANGUAGE AND SOME OTHER ABILITY, PREFERENTIALLY SUBSERVED BY THE RIGHT HEMISPHERE." (PsycINFO Database Record (c) 2012 APA, all rights reserved)